WATCH BWCH

Winter
2009

INSIDE THIS ISSUE:

Fetal Alcohol Spectrum Disorders

Sexual Assault
Services Program
Formula Grant

2

Child Fatality Review
Executive Summary

3

Child Fatality Review
Recommendations

5

AZ State Sexual
Violence Prevention
Plan

7

**MCH Block Grant
Needs Assessment
2010

8

New Health
Start Program RFP

8

ATV Crashes

9

Healthy Smiles, Healthy
Bodies Survey

10

New Employees

11

Special points of
interest:
Can the effects of
alcohol be seen in
the brain of a newborn child?
(See page 2)
Are ATV deaths in
Arizona on the rise?
(See page 8)

Prevention Project Expands
The Fetal Alcohol Spectrum Disorders (FASD) Prevention Project is an
integral part of the Health Start Program, within the Bureau of
Women’s and Children’s Health (BWCH). The project funding is provided through a subcontract with Northrop Grumman, a contractor under the Substance Abuse and Mental Health Service Administration
(SAMHSA). After a six-month planning period starting
February 1, 2008, the project began implementing alcohol screening
and brief intervention to all pregnant women at two sites, North
Country Healthcare in Flagstaff and Native Health Community Health
Center in Phoenix.
During the first year, the two sites screened 386 at-risk pregnant
women for alcohol use, of which 95 or 25.6% screened positive. Brief
intervention education was provided to the women to help them cut
down or stop completely during pregnancy. The FASD Project has
expanded the number of sites providing the screening beginning
September 2009, from two to eight. The new sites include: Apache
County Health Department, Centro de Amistad, Coconino County
Health Department, Mariposa Community Health Center, Tempe
Community Action Agency, and Yuma County Health Department.
The remaining six Health Start Program sites will implement the FASD
screening by August 2010.
Since half of all pregnancies are unplanned, the risk of an alcohol
exposed pregnancy is high. In Arizona, it is estimated that
approximately one in eight pregnant women drink alcohol while
pregnant. Out of the 99,215 births in Arizona in 2008, it is estimated
See Page 2, FASD Prevention Project

Page 2

WINTER 2009

FASD Prevention Project
Cont.
that 12.5% or 12,401 were born to mothers
who engaged in binge drinking. In 2007,
there were 25 cases of fetal alcohol
syndrome diagnosed among hospitalized
infants less than one year of age in
Arizona (Arizona Vital Statistics, 2007).
Alcohol causes more damage to the
developing baby’s brain than any other
substance, being the leading cause of
preventable birth defects and cognitive
disabilities.
If you would like more information
regarding the FASD project, contact:
Sara Rumann
Health Start Program Manager
Bureau of Women’s and Children’s Health
rumanns@azdhs.gov
(602) 364-1421
Brain Images of Six Week Old Children

non-FAS Child

FAS Child

Source: http://www.judiciaryreport.com/images/fas-brain.jpg

Of all the substances of abuse, alcohol
produces by far the most serious
neurobehavioral effects in the fetus.

Institute of Medicine report to Congress, 1996

Sexual Assault Services
Program Formula Grant
The BWCH received a two-year grant for
$282,410 from the U.S. Department of Justice to assist with the maintenance and expansion of rape crisis centers and other
relevant programs dedicated to assisting
those victimized by sexual assault. The
Sexual Assault Services Program (SASP)
grant program was created by the Violence
Against Women and Department of Justice
Reauthorization Act of 2005 and is the first
Federal funding stream solely dedicated to
the provision of direct intervention and
related assistance for victims of sexual
assault.
The BWCH conducted a survey of
providers to identify the target populations
and services that should be funded in
Arizona. After analyzing the information,
the BWCH held a conference call with
providers to review the data and to confirm
what populations to target and key
services to provide with the grant funds.
The BWCH issued a Request for Grant
Application to expand, establish, or maintain advocacy and provide guidance
through medical, criminal justice, and
social support systems, including: medical
facilities, police and court proceedings,
crisis intervention, information and referral
to assist the sexual assault victim and
family or household members; outreach
and public awareness and/or counseling.
The underserved populations to be served
include elderly, disabled, Lesbian/Bisexual/
Gay/Transgender/Questioning (LBGTQ),
monolingual immigrants, and refugees.
The goal of the BWCH is to have programs
funded by January 1, 2010. For more
information contact Carol Hensell at
(602) 542-7343.

WINTER 2009

Page 3

2008 CHILD FATALITY REVIEW
EXECUTIVE SUMMARY
The Arizona Child Fatality Review Program was
created in 1993 (A.R.S. § 36-342, 36-3501-4) and
data collection began in 1994. Reviews of child
deaths are completed by 12 local child fatality
teams located throughout Arizona. The state team
provides oversight to the local teams, produces an
annual report summarizing review findings, and
makes recommendations regarding the prevention
of child deaths. These recommendations have been
used to educate communities, initiate legislative
action, and develop prevention programs. The
Arizona Department of Health Services provides
professional and administrative support to the state
and local teams and analyzes data from all death
reviews.
In 2008, 1,038 children younger than 18 years of
age died in Arizona. This was a decline from
2007, despite the fact that the population of
children increased in Arizona during 2008.
Arizona Child Fatality Review Teams reviewed 100
percent of child deaths and determined that 33
percent of these deaths could have been prevented
(n=343).
• 100 percent of homicides were preventable
(n=60).

• 100 percent of drownings were preventable
(n=29).
• 98 percent of motor vehicle crashes were
preventable (n=80).
• 96 percent of maltreatment deaths were
preventable (n=49). In four percent of maltreatment deaths, local review teams were not able to
determine preventability (n=2).
•

95 percent of accidents were preventable
(n=160).

• 89 percent of suicides were preventable (n=31).
For 11 percent of suicides, local review teams were
not able to determine preventability (n=4).
Deaths among all age groups declined in 2008

except for children ages one through four years. The
percentage of children ages one through four years
who died increased from 10 percent of all child deaths
in 2007 (n=113) to 12 percent of all child deaths in
2008 (n=126).
Deaths were disproportionately high among all
minority children in Arizona during 2008. African
American children comprised five percent of the
population in Arizona, but 10 percent of the fatalities.
American Indian children comprised seven percent of
the population and eight percent of deaths. Asian
children comprised three percent of the population and
four percent of the deaths. Hispanic children
accounted for 39 percent of the population and 44
percent of fatalities.
Deaths due to prematurity increased among some
minority groups during 2008. African American
infants accounted for eight percent of deaths due to
prematurity in 2007 (n=26) and 14 percent of deaths
due to prematurity in 2008 (n=39). Asian infants
comprised three percent of deaths due to prematurity in
2007 (n=10) and six percent of deaths due to
prematurity in 2008 (n=16).
Deaths involving substance use (illegal drugs,
prescription drugs, and/or alcohol) continued to
increase in 2008. Twenty percent of all child deaths
involved substance use (n=209), an increase from 2007
when substance use was involved in 17 percent of all
child deaths (n=198).
The rate of motor vehicle fatalities declined from
9.9 deaths per 100,000 children in 2006 to 4.7
deaths per 100,000 children in 2008. Motor vehicle
crashes claimed 82 children’s lives in 2008, a decline
from 2007 when 122 children died in motor vehicle
crashes. Ten children died in all terrain vehicle (ATV)
crashes in 2008. Ninety-eight percent of motor
vehicle-related deaths were determined to have been
preventable (n=80). Lack of vehicle restraints was
identified as a preventable factor for 38 percent of
motor vehicle crash fatalities (n=31).
The rate of drowning fatalities increased from 1.4
deaths per 100,000 children in 2007 to 1.7 deaths
per 100,000 children in 2008. Twenty-nine children
Continued on Page 4

WINTER 2009

Page 4

Child Fatality Review, Cont
died due to drowning during 2008, and 100 percent
of these deaths were determined to have been
preventable. The highest numbers of both pool
drownings and open-water drownings were among
children ages one through four years.
The child suicide rate increased from 1.7 deaths
per 100,000 children in 2007 to 2.0 deaths per
100,000 children in 2008. Thirty-five children took
their own lives during 2008, and 89 percent of these
deaths were determined to have been preventable
(n=31). For 11 percent of suicides, local review
teams were not able to determine preventability
(n=4). The majority of suicides were among
children ages 15 through 17 years (74 percent,
n=26), and 26 percent were among children 14 years
of age and younger (n=9).
In 2008, the leading cause of death for children
ages 15 through 17 years was firearm-related
injuries (27 percent, n=37). This included firearmrelated deaths due to both suicides (n=11) and
homicides (n=26).
Deaths due to maltreatment declined from six
percent of all deaths in 2007 (n=65) to five
percent of deaths in 2008 (n=51). For 23
maltreatment deaths, mandatory reporters did not
notify Arizona Child Protective Services that the
deaths were suspected to have been due to maltreatment even after the investigations. Substance use
was involved in more than half of the child maltreatment deaths during 2008 (53 percent, n=27).
Ninety-six percent of maltreatment deaths were
determined to have been preventable (n=49). For
four percent of maltreatment deaths, local review
teams were unable to determine preventability (n=2).
Ninety infants died in unsafe sleep environments
in 2008, including 44 infants who were placed to
sleep in adult beds and 13 who were placed to sleep
on couches or chairs. Thirty-one infants were placed
to sleep on their sides or stomachs. Forty-eight
infants were bed sharing with adults and/or other
children, and 25 of the adults who bed shared were
using illegal drugs, prescription drugs, and/or
alcohol.
Fourteen percent of all child deaths occurred in

or around the home, and 89 percent of these deaths
were determined to have been preventable (n=126).
In 2008, 141 children died in or around the home, due
to causes such as drownings, sleep-related
suffocations, poisonings, falls, and fires. Seventy
percent of these deaths were among children younger
than five years of age (n=120).
Successes Related to Previous Recommendations
Deaths involving substance use
In 2009, the Arizona Substance Abuse Partnership
developed goals, objectives, and action steps to
address prescription drug abuse among children and
underage drinking. This group, which is part of the
Governor’s Office of Children, Youth, and Families, is
enlisting parents, communities, and pharmaceutical
retailers to develop strategies to educate the public
about the consequences of prescription drug abuse.
The Division for Substance Abuse Policy is working
with partner agencies to develop and implement a
public awareness campaign regarding the proper
disposal of prescription drugs. The Substance Abuse
Partnership is also working to build capacity at the
state level to enhance enforcement strategies to reduce
underage drinking.
In 2009, several communities throughout Arizona have
held ‘Dump the Drugs’ events where residents drop off
unneeded medications to be properly destroyed.
Among many others, these included the cities of
Cottonwood, Prescott, Show Low, Sierra Vista, White
River, and Williams.
Deaths due to motor vehicle crashes
The Navajo Nation enacted legislation in 2009 which
requires children less than four feet, nine inches in
height to be restrained in booster seats while riding in
vehicles.
In September 2009, the City of Flagstaff enacted a city
ordinance requiring children to wear helmets while
riding bicycles within city limits. This ordinance will
go into effect in January 2010.
Deaths due to injuries
In 2009, two First Things First Regional Councils
offered grants to target injury prevention among
children five years of age and younger.
Continued on Page 5
WATCH BWCH

WINTER 2009

Page 5

Child Fatality Review, Cont

Unexpected infant deaths
The Arizona Department of Health Services Bureau
of Women’s and Children’s Health is developing a
culturally competent Infant Safe Sleep Campaign,
which will be distributed to child care facilities,
emergency and transitional housing programs, and
other agencies throughout Arizona in the Spring of
2010.
The Phoenix Police Department is developing
public service announcements to educate the public
on infant safe sleep. These will be completed
January 2010.
The Tucson Police Department has distributed
information about infant safe sleep to new parents
through Tucson Medical Center’s Labor and
Delivery Unit.
The Arizona Unexplained Infant Death Council and
the Arizona Sudden Unexpected Infant Death
Investigation Task Force revised the Infant Death
Investigation Checklist during 2009.
Deaths due to prematurity
In July 2009, the Community Health Nursing
component of the High Risk Perinatal Program
began including intraconception care in its activities
with parents. The Arizona Department of Health
Services Bureau of Women’s and Children’s Health
produced new materials to address preconception
health. These materials were made available to the
public on the agency website.
RECOMMENDATIONS
Based on its review of child deaths that occurred
during 2008 and in previous years, the State Child
Fatality Review Team recommends specific actions
to prevent future child deaths in Arizona:
To Prevent Deaths due to Prematurity
Recommendation to the Arizona Department of
Health Services: Launch a preconception health
awareness campaign which includes messaging that
targets African Americans in Arizona.
To Prevent Deaths due to Substance Use
Recommendation to the Prescription Drug

Subcommittee of the Arizona Substance Abuse
Partnership: Develop culturally effective educational
materials for parents/caregivers with children and
adolescents regarding the safe storage and disposal of
prescription medications and distribute these materials
in English and Spanish to medical providers and
pharmacists.
To Prevent Deaths due to Motor Vehicle Crashes
Recommendation to the Arizona Legislature: Enact
legislation that requires the use of booster seats for
children who are between five and nine years of age
and are less than four feet, nine inches in height.
Recommendation to the Arizona Legislature: Enact a
primary seat belt law to allow law enforcement
officers to ticket a driver for not wearing a seat belt.
This has already been enacted in four Arizona Tribal
Nations.
Recommendation to the Arizona Game and Fish
Department and all Arizona Law Enforcement
Agencies: Increase enforcement of existing laws
regarding children riding or driving all terrain/offhighway vehicles including helmet use, double riding,
and licensing.
Recommendation to Arizona Injury Prevention
Advisory Council: Convene a work group to
collaborate with Arizona Game and Fish Department
and local law enforcement agencies to develop
statewide recommendations to promote safe all
terrain/off-highway vehicle use among Arizona
residents.
To Prevent Drowning Deaths
Recommendation to Arizona Legislature: Strengthen
current legislation regarding pool fencing to require
four-sided fencing with appropriate gates for all
backyard pools where children live or play.
Recommendation to the Drowning Prevention
Coalition of Arizona: Develop strategies to
reduce child drownings in spas and hot tubs.
To Prevent Injury-Related Deaths among Children
Recommendation to Arizona Department of Health
Services: Provide local child death and injury data to
Continued on Page 6

Page 6

WINTER 2009

Child Fatality Review, Cont
Regional First Things First
Councils so that they may utilize
this information when developing
regional grants to target injury
prevention.
To Prevent Deaths due to Suicide
Recommendation to Arizona
Department of Health Services:
Develop a taskforce to explore the
development and implementation
of a Suicide Investigation Checklist for use by law enforcement
when investigating child suicides.
To Prevent Deaths due to Maltreatment
Recommendation to all Arizona
Law Enforcement Officers and
Medical Examiners: Report every
child death where child abuse or
neglect is suspected to the Child
Protective Services' Child Abuse
Hotline promptly (1-888-SOSCHILD), even if there are no
other children living in the home.
Recommendation to Arizona
Department of Economic Security
Division of Developmental
Disabilities and its providers:
Notify Child Protective Services’
Child Abuse Hotline (1-888-SOSCHILD) promptly whenever a
family refuses Developmental
Disability services and neglect of
a child’s medical or
developmental condition is
suspected.
Recommendation to Arizona
Department of Economic Security
Division of Youth, Children, and
Families: Educate staff that the
decision to substantiate or
unsubstantiated a maltreatment

report should be based on a
thorough child safety assessment
and investigation and not solely on
a determination of the manner of
death by a medical examiner's
office or findings by law
enforcement.
Recommendation to Arizona
Department of Economic Security
Division of Youth, Children, and
Families and Children’s Justice
Coordinators: Include information
in the training of Department of
Economic Security staff and other
mandatory reporters regarding the
increased risk for child abuse and
neglect when a parent/caregiver
lacks the ability to appropriately
care for a child, especially when
the child has special needs or is
medically fragile.
Recommendation to the Arizona
Legislature: Increase funding to
the Arizona Department of
Economic Security Division of
Youth, Children, and Families in
order to reinstate child maltreatment prevention programs and
reduce the caseload of Child
Protective Services Specialists to
meet the existing Arizona
Caseload Standards.
To Prevent Sudden Unexpected
Infant Deaths
Recommendation to Arizona
Department of Health Services:
Develop an Infant Safe Sleep
Message to be disseminated
throughout the state.
Recommendation to the Arizona
Perinatal Trust: Include an
evaluation of safe sleep policies

for infants and safe sleep
education programs for parents
into its reviews and site visits of
all Arizona birthing hospitals.
Recommendation to the Arizona
Unexplained Infant Death
Council: Send a letter to all law
enforcement agencies in Arizona
reminding them of the statutory
obligation to complete an Infant
Death Investigation Checklist
whenever a child younger than
one year of age dies unexpectedly
(A.R.S. § 36-2293). This letter
should instruct law enforcement
officers to promptly email or fax
all completed Infant Death
Investigation Checklists to the
medical examiner’s office where
the autopsy will be conducted.
Recommendation to the Arizona
Medical Association and the
Arizona Osteopathic Association:
Educate physicians that all sudden
unexpected infant deaths should
have death certificates completed
by medical examiners as required
by statute (A.R.S. § 36-325 and
A.R.S. § 11-593).
Recommendation to Arizona
Medical Examiners: The
determination of the manner and
cause of a sudden unexpected
infant death should not be made
without a review of the Infant
Death Investigation Checklist,
medical records, and an autopsy
which includes radiographs,
appropriate toxicology testing,
and appropriate
metabolic studies.

The complete 16th Annual Report is available at www.azdhs.gov/phs/owch/publicat.htm. The full report
provides a great deal of detail on the factors associated with children’s deaths as well as recommendations
for decreasing the deaths to Arizona’s children.

Page 7

WINTER 2009

Arizona State Sexual Violence Prevention Plan
In 1996, an amendment was
added to the Preventive Health
and Health Services Block Grant
(PHHSBG) that authorized
funds for rape prevention and
education. Under the Violence
Against Women Act of 2000,
several changes became law. In
2001, the PHHSBG created a
new stand-alone categorical
grant, the Rape Prevention
Education Program Grant
Program, and designated CDC/
NCIPC the programmatic
responsibility for this new grant.
In 2006, the RPEP was renamed
the Sexual Violence Prevention
and Education Program to
reflect its broader goals of
ending all sexual violence.
In order to continue to provide
crucial sexual violence
prevention and education
services to its statewide
community, the Arizona
Department of Health Services,
Sexual Violence Prevention and
Education Program began a
comprehensive planning
process. A diverse group of
individuals from sexual assault
coalitions, State of Arizona
departments and agencies,
non-profit agencies, the military,
and community-based entities
were recruited to became
members of Arizona’s sexual
violence prevention planning
committee.
As part of the planning process,

a comprehensive state needs
and resources assessment was
conducted to provide data to
inform the development of
The Plan. This assessment
included the following: a
description of the geographic
area of interest; a review of
Arizona demographic and
economic data; a review of
present sexual violence
prevention and education
assets and resources; a
description of present
influential circumstances in
Arizona; an assessment of the
magnitude of sexual violence
in Arizona; profiles of three
major Arizona counties;
identification of gaps in
Arizona’s ability to track the
statewide magnitude of sexual
violence; a list of risks and
protective factors; and focus
group and Delphi survey data.
As a result of this extensive
needs and resources
assessment, five needs were
identified. They were as
follows: 1) sexual violence
prevention education in
schools and universities;
2) healthy relationship/respect
training, self-esteem for kids;
3) more prevention funding,
more sources of funding;
4) educate communities, all
populations, including hospitals; and 5) media campaign,
public service announcements.

The planning committee
developed a prevention plan
based on the needs and
resources assessment. During
the planning process,
members developed a shared
definition of sexual violence
and The Plan’s Sexual
Violence Prevention Vision
Statement. Based on needs
and priorities identified in the
needs assessment, committee
members drafted goals,
outcomes, and strategies for
the final strategic plan.
Arizona’s final
Comprehensive Prevention
Plan has three goals: increase
respect for self and others
through sexual violence
prevention education for
Arizona children, youth, and
young adults; increase
Arizonans’ engagement in
sexual violence prevention;
and increase Arizona’s
resources to support sexual
violence prevention and
education.
The plan will be complete
January 2010.
For more information call
Carol Hensell at
(602) 542-7343

Page 8

WINTER 2009

The Maternal and Child Health
Services Block Grant
Needs Assessment
The Bureau of Women’s and Children’s Health
(BWCH) is in the process of conducting a five
year needs assessment as required by the Department of Health and Human Services, Bureau
of Maternal and Child Health. The needs assessment is a not only a requirement but an important tool for identifying current issues and
trends related to maternal and child health in Arizona. The results of the needs assessment are
used to identify policy, administrative and program strategies within the bureau that will ultimately result in improved health for children and
women of child bearing age.
The needs assessment is driven not only by data
but input from our partner agencies and the community at large. Obtaining diverse opinions and
viewpoints is a critical component of the input
process. The needs assessment process was
initiated in August with a survey of Executive Directors, CEOs, Health Officers and other agency
leaders regarding their agency capacity, needs
assessment processes and observations regarding the health needs of the women and children
in their community. We are now seeking broad
input from residents across Arizona on their opinions about health issues facing women and children. A survey is currently available for the general public at http://www.surveymonkey.com/
s.aspx?sm=wiuBKpp7r9NpYY4TlEUHLA_3d_3d
Please feel free to share this link with family,
friends and co-workers.
The survey will be available to the public until the
middle of January 2010. We will offer additional
opportunities for our stakeholders and the general public to provide input regarding maternal
and child issues in Arizona. However, everyone
is welcome at any time to provide comments on
health issues or suggestions on how to obtain
greater public input. Anyone wishing to do so
may contact Doug Ritenour, the Maternal and
Child Health Epidemiologist at (602) 364-1433 or
ritenod@azdhs.gov. Participation in the needs
assessment process is valuable and each voice
has the potential to impact how the health needs
of women and children in Arizona is addressed
for the next five years. The needs assessment
report will be completed and published, along
with newly identified Maternal and Child Health
priorities, in July 2010.

Health Start Program to
Release a New Request for
Proposal
The Health Start Program is working on a
new Request for Proposal (RFP) to be
released by February 2010. The new request will award contracts for the next five
years starting July 1, 2010. The Health
Start Program was established in 1992 at
the ADHS, Bureau of Women’s and Children’s Health to address the increase in
the rate of women receiving inadequate or
no prenatal care and to reduce the number
of low birth weight infants. The Program
utilizes Community Health Workers to
provide education, support and advocacy
services to pregnant and postpartum
women and their families in targeted areas
throughout the state. For more information,
contact Sara Rumann, Health Start
Program Manager, rumanns@azdhs.gov.
To be placed on a list to receive notice of
the RFP, contact Pam Grouix,
grouixp@azdhs.gov or call ADHS Procurement, (602) 542-1040.

Health Start Contractors Meeting Brainstorming Program Improvements. 10/22/09

WINTER 2009

Page 9

All Terrain Vehicle Crashes
All terrain vehicles are
exactly what they sound like
they are - vehicles meant to
be driven in different types
of terrain. These are
vehicles that are smaller
than cars or trucks, and they
usually have seats for both a
driver and passenger. They
also might have beds to
carry things, tow-hooks to
help tow other vehicles or
trailers, and other equipment
to help make work easier.
However, they must be used
safely, and they also must
be designed with safety in
mind or else you could end
up with very
serious ATV injuries.
Unintentional injuries from
all terrain vehicles are a
public health problem
impacting the lives of thousands of Arizona residents
each year. Between 2003
and 2008, the age-adjusted
death rate for ATV-related
injuries among Arizonans
increased from 0.27 deaths
per 100,000 residents to
0.51 deaths per 100,000
residents. This represents

In Arizona ATV—
related deaths have
increased 89 percent
over the last 6 years.

an 89
percent
increase in
the rate of
deaths over
six years.
The Injury
Prevention
Program
within the
Arizona Department of
Health Services in partnership with Arizona Game
and Fish held a stakeholders meeting October
27, 2009 to discuss interventions to prevent injuries
from ATV’s. Attendees included representatives
from the Bureau of Land
Management, Forestry,
ATV riding organizations
and hospitals. The
outcome of this meeting
was the stakeholders are
committed to working
together to increase
educational information to
the ATV riding community,
continue to build the
partnerships necessary to
address this issue, and
identify safety resources at
the community level. It
was decided that
subsequent stakeholders
meetings needed to be

offered across the state with the
next meeting in Tucson on
January 15.
The Injury Prevention Program
will continue to work with
Arizona Game and Fish to
address this injury concern.
Arizona offers our families
recreational geography to enjoy
the outdoors. It is our hope that
by working together our families
can enjoy their activities without
an injury or death.
For more information
contact:
Tomi St. Mars RN, MSN, FAEN
stmarst@azdhs.gov

Page 10

WINTER 2009

Healthy Smiles, Healthy Bodies
Survey of Third Grade Children
The Bureau of Women’s and Children’s Health, Office of Oral Health implemented
the Healthy Smiles, Healthy Bodies Survey in 2009. The intent of the survey was
to collect statewide and county prevalence estimates on obesity, asthma and the
oral health status of Arizona third grade children. This survey will be the first time
statewide estimates have been collected on asthma and obesity among third
grade children. Fifty-six schools participated in 2009 and an additional 44 schools
are scheduled for the 2009-2010 school year. Participating schools were
randomly selected according to the third grade enrollment size.
Standardized screening methods have been employed as part of the survey to
ensure that data can be compared to data collected by other
states using the same survey techniques. The collected data will
be used to target programs and resources to at-risk populations
and to measure progress toward the national Healthy People
2010 and Healthy Arizona 2010 objectives. Findings are expected to be available July 2010.

WINTER 2009

Page 11

KEEPING UP WITH BWCH

Welcome New Employees!

Julia Wacloff, Chief

Jerry Caniglia

Rene Tuscano

Office of Oral Health

Chief Dental Officer

Program Manager, Oral Health

Nancy Winchester

Lindsey Sumner

Laurie Godinez

Program Manager, Oral Health

Administrative Assistant, Oral Health

Data Manager

Rosalina Castaneda

Eric Hamm

Kevin Durand

Young Child Wellness Expert

Epidemiologist

Epidemiologist

This newsletter brought to you by:
Arizona Department of Health Services
Bureau of Women’s and
Children’s Health
150 N 18th Ave
Phoenix, AZ 85007